Our licensed diagnostician will perform a formal diagnostic assessment through ADOS or Autism Diagnostic Observation Schedule and CARS or Child Autism Rating Scale. The child will need to receive a formal F84.0 ASD diagnosis to receive ABA services.
After receiving a formal diagnosis of F84.0, the family can apply for ABA services directly on our website. Our intake specialist will help them fill out the necessary paperwork, which includes basic demographic information, insurance information, medical, developmental, and behavioral information. The data gathered will be used in the development of the child’s individualized treatment plan. The paperwork also includes a brief overview of our policies and procedures.
ABA Coverage Verification
Once all the paperwork is done and received, our Authorization Specialist will take over, verifying your insurance benefits and confirming whether or not you have coverage for ABA services. They will identify any limits or restrictions to coverage and gather details on any applicable copays, deductibles, or coinsurance, per your insurance plan.
Pre-Authorization for Initial Assessment Request
Once the family confirms to move forward with ABA, our authorization specialist will submit an initial authorization request to their insurance provider. This will serve as the go signal of our board-certified behavior analysts to begin conducting your child’s initial assessment.
Initial Assessment Completion and Development of the Care Plan
Once the initial authorization BCBAs will start to explore your child’s abilities and behavioral issues and actively interact with your child to assess their overall functionality, skills, and abilities. They will then work together with healthcare professionals, the child, and the family in creating an individualized care plan according to all the data gathered, ensuring that it matches your child’s and your family’s needs.
Pre-Authorization Request for ABA Treatment
Once the care plan is completed and approved by all parties, our authorization specialists will submit all necessary documents to your insurance payors along with an ABA treatment authorization request. It usually takes 6 months to get the pre-approval. Then, ABA services will be provided each week, from 15 hours to 35 hours per week.
Beginning of Treatment
Upon receiving the treatment authorization, our clinical team can start providing your child with ABA services. The team includes registered behavior technicians and BCBAs who proactively work with your family.